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4= . 1 t ~ ( 1 i ~ ~ ~ . ~ . . ~i' ~ Y - , . - ~ ~ . E . I • l TXIS STATEMENT i~ p~es~.+ted w o f:lirq ofFice~ fw Iilirg pvrswnt b fM Uaifww~ Co~uw~~dd Code: f 7. Mm~wiy doh tif onr): t Debtori?i los~ Na~~ i,~rs~; wd oddr~ssies ~ t. S~nrr~d ?oRYli~) ond odd'e~s!yj - w Filinq Offiur iDoN. Ti.n~. Number, ond fil:np Offict) 4 ERGI.E FIIITANCE Y Jones.~ P.dxard 4. ~~?itiie ~'~~v 2059 S. FEDERAL HiGHVirAY ; 19T9 ,1'~1:~ 29 I~! i I~ 4 2 3107 S. 22n~ St. ~ FT. PIEHGE. FLORiDA 33~50 ~ ; ?t. Pierce, FL• 3~ls50 I ; ~r iu°ca`~'~o~ Tr fcl0?. t L._.__ ROGER P~TRAS ~ 4. This sbMin~nl b o.:~,~ s~~ b.a.:,q F;w 3326~5 . _ t;tFwt cutcwT co ' ~C~DYER;~iE~ - ' F;~.a St_ ~~~1 gsnnn~ u~+. F;~.a Anril 19 ~v~ 3. ~ tm~inwAGa+. ~ a~9~ F~u^9 s!aMn~nt bel~wMe tM fot~yeinq D~bb? ond S~cur~d ?aAp. bwrirq fi1~ nunser alwwn abare. :s ' t eH ~rt. ' ~ 6. Tww~indion. SecweA Va~11 ~ lony~r cioi~ws a s~cwiy inMest ~r wee fi~ean~inq storee~Mnt bsorieg iile nuw~bar sFawn obove. + ~ 7. Q Assiyrr~~nt. TM s~cw~d parq/s ?iqAt ~wd~r ~M finoncieq sto/amnt Dwrinq file nvn+bw si~oww abw~ w N.~ Prov«y .1.su:b«f :n :t«w i!ws bwn ass:;n~d . b ~M msqr~ vrhose nan~ ond oddress uVWws in I~an 11. ~ A~ndiw~nt Finanonp Slot~aent btwir+y file mnwber slwrn abu+r~ is a~nd~d as +s~ fpth in Itwn I1. ~ 9. [~s Rd~we. $~cr.ed ?ortp ~~i~ests IM ~dlaNrol drxribed 'n+ ItMn 1 t irem tht (~u~q stoNrnMt b~oruq fil~ mwnb~r shown obo~e. - ~ 10. ~ CMck if true. A!! docu~nenrory panp foa~s dw and nofable w ro b~cow» du~ and Pe7~~ pwH+an~ b ChopM~ ~Ol, F. S. Aov~ b~r~ poid.------- 1L . I ~ ' ~ ~ i 1'~O. O~ Od~tW1~O~ itiNtf p~fflnlld' - _ _ _ _ - . ~ _-__~gle Fi~nca - ' ~ ~ ~ ~ (,r/ ~ • ~ % _ ~ ~ Sip~Mvnls) d D~b.arit ~~iF- is oppliceb~l. ~ 5~9~w~'s; S~cw~ ~~s t STANDARD FORM - FORM UCC-3 ' gr~~~ ~1 ~ i~, c~,~q , OF~'CER COPY -~LPNABEiiCRL Appro„~d by iOM ADI~JAS. Ssc~e!ory cf S+:'• S`.,•• -'i - __.....~a`.4~:.'~